Individual
DR. OLUMIDE A COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
(301) 618-5673
Mailing address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(301) 346-4888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101237145
VA
207R00000X
Internal Medicine Physician
Primary
081610
GA
207R00000X
Internal Medicine Physician
D0062141
MD
Other
Enumeration date
06/11/2006
Last updated
01/18/2022
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